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American Capital Agency Corp. Message Board

  • raybans2 raybans2 Nov 20, 2012 3:28 PM Flag

    reply to reits_r_us

    I think you extended my concerns about most professionals to include all professionals. As I said before, I have found that most people in their professions are not able to handle situations that are beyond what they typically come across and that includes doctors as well. Why should they be excluded? And I didn’t say all doctors and I didn’t say they are clueless in every situation. In fact I think they know what to do in most situations. And a very few are gifted, but not all of them.

    My experience with doctors in particular is that they use standard treatments that fit most situations and often drop the ball when things get more complicated than that. Back when I received my repetitive stress injury in my wrist, brought on by bad posture at the keyboard, all the doctors that I went to initially acted like they knew exactly what my situation was almost before I was done explaining it to them, which was really irritating to begin with, and then they all had different methods of treating it, none of them that worked except for the last. The first doctor who was at an HMO I used at the time gave me a script for a non-steroidal anti-inflammatory and said it would get better in a few weeks and offered my no suggestions as to what do with my hands in the mean time and then he said that I was not covered for work related injuries and had to go through workman’s comp.

    The next doctor that my company sent me to was running a work related injury factory and told me to soak my highly inflamed hands, they were visibly red, in hot water when I actually needed to put ice on them. She was having me go to physical therapy where they were applying ultra sound to the back of my hands and after a few weeks of this the pain was so unbearable I could not sleep at night. I mentioned to her how my pain was getting much worst since I started the physical therapy and emotionally she seemed bored but I think it was a defensive reaction to being in a situation she did not understand. I was terrified to even see her anymore after that since I could only imagine what damage she would do to me next as she obviously did not understand what to do.

    I went to work and explained the situation and they sent me to another doctor who assured me that this was a temporary condition and that it would go away in a few weeks and to keep taking my non-steroidal anti-inflammatory meds. And when I asked him that since the condition had been getting worse for several months now and I had been taking meds for the last two months then why would it all of a sudden get better in two weeks by doing nothing different than I have been doing already. He didn’t know what to say. After a month he recommended me to a Rheumatologist who basically kept seeing me for another two months and simply kept giving me more of the same meds. After two months when I said it wasn’t getting better he was at least honest and told me that he was lost as to what to do so I asked him what kind of doctor I should see and he didn’t know. He said that all he could suggest is waiting for it to get better on its own.

    Then one day I was shopping in a grocery store and a cashier who had a similar injury like mine in the past recommend an orthopedic surgeon. This last doctor knew exactly what he was doing when he heard my story about what I had been through and what the other doctors had done he just shook his head in dismay. My question is then why did all the other doctors act like they could treat me when in fact they had not a clue what to do? They basically turned an injury that would have been cured a 3 months into one took 5 years to get better because the inflation had become so intense that tissue damage had become very severe.

    So I just look at it this way. In every field you have a few really good guys and a lot of average people for the rest and if your situation seems at all out of the norm you better start looking for one of those really good people. For everything else average is OK.

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    • Hey RayB,

      Thank you for your explanation. It was an unfortunate experience. I am sorry you were kicked around for so long without remedy, and thankful that you finally found relief.

      My grandson is going through a similar episode with allergies presently and has these horrendous allergic wheals over his body at various times. He is allergic to a number of foods which we keep him away from, but the outbreaks continue. Current doctors are not much help at finding the cause.

      There are certainly many maladies which stretch known science. My reaction was over the thought that you were lumping most physicians following dollars as their raison d'être. I like to believe that we are in this to improve the lives(health) of the patient. My slogan for my office is "Helping you See Well and Comfortably".

      I really enjoy solving patient's problems whether they are suffering from a physical malady such as glaucoma or macular degeneration or the removal of a foreign body from their cornea, or just seeing better with new glasses or contact lenses. I go to bat for the elderly who are having problems passing their driver's license renewal and just want the privilege of daytime driving within 5 miles of town.

      We do take workmen's Comp cases but you are right...I consider them "write offs" because they are horrendous for reimbursement. After a year trying to get paid and all of your staff time out the window you realize you should have just done it for free from the get go. I have many who seek my approval for visual disability. They are usually applying for other system disabilities, which they end up getting, but more often they want to find out if I'll play ball and give them a visual disability, when they do not meet the criteria for the same. I can tell you I disapprove 90% of these.

      So, I understand the process you went through somewhat better from your explanation. Unfortunately there are unscrupulous physicians. Many are jaded by the constant flow of those trying to get these disabilities and the others seeking renewal of their pain killers. It is epidemic. But that is a topic for another time...

      Regards,

      DocReits

      • 2 Replies to reits_r_us
      • Hey RayB,

        Thank you for your explanation. It was an unfortunate experience. I am sorry you were kicked around for so long without remedy, and thankful that you finally found relief.

        My grandson is going through a similar episode with allergies presently and has these horrendous allergic wheals over his body at various times. He is allergic to a number of foods which we keep him away from, but the outbreaks continue. Current doctors are not much help at finding the cause.

        There are certainly many maladies which stretch known science. My reaction was over the thought that you were lumping most physicians following dollars as their raison d'être. I like to believe that we are in this to improve the lives(health) of the patient. My slogan for my office is "Helping you See Well and Comfortably".

        I really enjoy solving patient's problems whether they are suffering from a physical malady such as glaucoma or macular degeneration or the removal of a foreign body from their cornea, or just seeing better with new glasses or contact lenses. I go to bat for the elderly who are having problems passing their driver's license renewal and just want the privilege of daytime driving within 5 miles of town.

        We do take workmen's Comp cases but you are right...I consider them "write offs" because they are horrendous for reimbursement. After a year trying to get paid and all of your staff time out the window you realize you should have just done it for free from the get go. I have many who seek my approval for visual disability. They are usually applying for other system disabilities, which they end up getting, but more often they want to find out if I'll play ball and give them a visual disability, when they do not meet the criteria for the same. I can tell you I disapprove 90% of these.

        So, I understand the process you went through somewhat better from your explanation. Unfortunately there are unscrupulous physicians. Many are jaded by the constant flow of those trying to get these disabilities and the others seeking renewal of their pain killers. It is epidemic. But that is a topic for another time...

        Regards,

        DocReits Less

      • The problem with workman’s comp is that because insurance companies know all work related injuries are covered by it, they exclude coverage for work injuries. At least they have for me. And every time I go to the doctor with an injury that could possibly be work related the doctors ask me if it is work related so they know whether to charge your normal insurance or workman’s comp. However as soon as your company learns that you went to a doctor other than their recommended doctor for such injuries you get a call telling you that you have to switch to their doctor. From that point on you lose control until you have been treated by two of their doctors and can choose your own. Of course they never tell you about your right to choose your own. You have to find that out on your own. I guess a lawyer would know.

        Because there are so many workers trying to game workman’s comp the companies are automatically in a mode of adversary to the patient and the doctors who get their business from the company are cognizant of this. Many of them are set up to do nothing but this kind of work and they need these referrals from companies. The doctor that recommended me to the Rheumatologist had initially told me that he had to release me. So I asked “What do you mean?” His answer to me was. "You’re obviously a smart guy so you should be able to figure out the position that I am in. Your company has been calling me on a regular basis." At the time I was on short term disability because I had come to the conclusion that I had to completely stop using my hands until the inflammation subsided as it kept getting worse otherwise. There was a project I was working on that no one else understood that had come to a complete stand still and the company wanted me back to complete it or they would have had to default. My boss didn't seem to understand the seriousness of my condition. When I finally did come back, after about 5 months, they assigned a person to me for a year to do all my typing. I would sit in a chair next to them and tell them what to do. For them it was not so much that they thought I was cheating as that they needed the work to be done. But the whole workman’s comp system is set up to cater to the employers demands as long as you are going to their recommended doctors.

        I understand that there are a lot of people gaming the system but some people are actually injured. My mistake is that I did not understand that there is a war that is going on between the gamers and companies and thus I did not know that I was entering a battle field that I did not want to be on. That is why I always say that any injury I get is not work related even if it is. You simply do not what to go there.

        RSI injuries can take a long time to heal if you let the inflammation get as bad as mine was before it is properly treated. In fact, I still have to type with perfect posture and I use a subset of all my fingers that I have learned are less likely to cause inflammation or the condition will come back and it has been 20 years. It is really never completely cured. That is why I am so careful about my back muscles because I don't want the same thing to happen there. My orthopedic surgeon told me at one point that patients in my situation usually get to the point where they understand their condition more than their doctor could in terms of what they can and cannot do because they are the ones feeling it and that all he can do is give guide lines but that we have to make the final decisions of what are our limititations are in the end because we are the ones getting the feedback from our bodies. When it comes to RSI, the “no pain no gain” attitude equals permanent damage. I had that attitude. I thought I would work though it. That after enough time my body would strengthen and get past it. I hugely regret having looked at it this way.

        You would think that with all the RSI injuries they were getting on production lines in the early 1900s that doctors would understand better how to treat them but I’m guessing that the injuries became more rare until computers started to create issues and so modern doctors forgot what they once knew. Now I suspect that this is not the case anymore but I haven’t had to see a doctor for this now that I understand how to keep it under control. In all fairness, it would not be fair to expect doctors to understand what they rarely see. However, even though it was rare at the time, this one doctor I saw, who specializes in sport injuries, seemed to know exactly what to do. Maybe he had seen it in athletes who over use their hard tissues by working out too much and could relate to how I got there. Who would have thought that a sport injury doctor would be the most qualified to understand computer related RSI injuries? However after I was treated successfully by him my company started sending all such cases to him and he was curing them and everyone I talked to loved his work. Not because he was likeable. They guy was like a computer with zero personality. They liked the results.

    • How about an eye doctor.

      RIM

    • Isn't Doc a dentist?

    • In parallel to this situation I had gone to the hospital because my neck became swollen due to some bug I had caught and the doctor freaked out when I casually said that I was having a little difficulty breathing. I didn’t mean to alarm him but it did. He took it to be worse than it was. So I got the works and spent two days in the hospital with an IV antibiotic which was complete overkill. I learned my lesson about making such remarks casually. But when I was in there I talked to my doctor about my other situation, who was African American and much more honest than I am used to from a doctor, and he told me that I would never get cured as long as I was in the workman’s comp system because all they care about is putting me through the process that results in the documentation they need defend against a law suit. I had no idea that this was the case and I was glad he told me. I had no interest in suing but I believed this guy. So I asked him what I can do and he told me that it was my right to be able to be able to choose my own doctor after I had been to the ones the company suggested. That was right before I met the cashier who recommended the orthopedic surgeon.

      While I was being treated by this doctor, which was on going for about 4 years, the company wanted me to see another one of their doctors. This doctor seemed to also be running a work injury factory. He came into the room where I was waiting, looked at my hands for a few seconds and without asking me any questions said to me that it looked like I was better now and would no longer be needing any more treatment. So I look at him straight in the eye and I told him “Don’t you even imagine that I don’t realize what you are doing and that it won’t have any repercussions for you.” He got flush in the face and left the room. I walked out after him and on the way out I told him. “You can report what you want but know that in about an hour that my company is going to get a complete detailed description of what went on in that room, which wasn’t much. You didn’t even make the least amount effort to make it look legitimate. And if you think this is too direct then you better get used to it because I’m just getting started.” I would have kept it private had he stayed in the room but since he ran off like a coward everyone else in his office area heard the end of the conversation. I don’t think he reported my condition as being cured as I continued with the other doctor for a few more years and my company stayed out of it from then on. But that was after I called the medical office and gave them a piece of my mind. This was the second time they had interfered and I told them it was going to be the last or I would seek council. They stopped, eventually I got better, and I never sued anyone.

      Maybe you don’t see this kind of stuff in small towns.

      The lesson I learned from all of this is to never ever tell a doctor that what I have is work related. I always say it was because of something that happened at home. Always.

      • 1 Reply to raybans2
      • One other thing I forgot to mention. After I had my repetitive stress injury several other people in the company started to get them. I was the first but the problem started to become more frequent because we were just switching over to computers on every desk and no one knew about the potential for injury if you sat there and hammered away at the keys all day long without taking any breaks. A lot of them were secretaries (office managers). After the experience with me they started to send all these people to the same doctor I was seeing. But since they immediately saw a doctor who was familiar with the proper way to treat this new and unfamiliar injury and didn't get misdiagnosed as I had been, their recoveries were much faster than mine. I’m convinced that had they been sent to the doctors I had seen they would have done no better.

        When I eventually left the company several years later one of the things you had to do was go to the medical department and get signed off as part of the departure procedure. I found it interesting how they had lost all history of my medical records. It seems that the lady that was in charge when I was getting treated had left the company and apparently she didn’t want those files on record for some reason because for records to be missing like that is rare. Everyone seemed extremely perplexed. They were all afraid of nothing because I would never have sued. All I wanted was to get treated by the right doctor and the company’s interference with the doctors I was seeing was making it difficult for me to do that.

        I also learned that there is an industry of work injury doctors out there that depend on companies to send them patients and then send those patients back with assessments that there is nothing wrong with these people. That doctor that advised me to get out of the work comp system told me that the doctors in it are forced to be corrupt and they really don’t have the patient’s interest at heart. You may find this hard to believe but after my experience I KNOW that it is true. I’m 100% sure of it. The doctor who advised me to get out of the workman comp system used to work in it and he told me he left it because he could not do what they expected him to do. He said it was wrong. I don’t know how it would have ended had he not told me all this because I was still naive thinking that these doctors were actually interested in curing me. I’m sure they did not want to do me any harm but they certainly were not interested in doing anything that would take more than a few months less they never get another patient from that company again.

        But finally my company came to realize that these people with the RSI injuries were not faking anything and they were actually injured, they started to let the doctors take as long as it took. But this was after several high level people started to get the same injury and found out about the process themselves and were outraged as I was.

 
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